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Organization
DEVELOPMENTAL SERVICES OF SULLIVAN COUNTY, INC.
Active
Organization
DEVELOPMENTAL SERVICES OF SULLIVAN COUNTY, INC.
Active
Other names
Pathways
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK G. MILLS (CHIEF EXECUTIVE OFFICER)
(603) 542-8706
Entity
Organization
Contact information
Practice address
654 MAIN STREET, CLAREMONT, NH 03743
(603) 542-8706
(603) 542-2729
Mailing address
654 MAIN STREET, CLAREMONT, NH 03743
(603) 542-8706
(603) 542-2729
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
99560052
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30532133
—
NH
05
—
60000002
—
NH
05
—
99560008
—
NH
05
—
99560052
—
NH
05
—
99590002
—
NH
05
—
99590022
—
NH
Enumeration date
05/03/2007
Last updated
03/15/2022
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